Share Facebook
Crohn's Disease Forum » Tests for IBD » Cost of colonoscopy


05-12-2016, 07:20 PM   #1
dfyang123
 
dfyang123's Avatar
 
Join Date: Jan 2016
Location: bellevue, Washington

My Support Groups:
Cost of colonoscopy

My adult son had a colonoscopy in California Berkeley last month, after I received his medical bill I was so surprised that the cost in California is more than doubled of Washington state, total cost this time is more than $5000,maybe even more because I saw our insurance explanation showed there is $1500 anesthetic had been denied by insurance. The facility only they charged $2700, I questioned insurance and was told it's legitimate for them to charge this much, the rate is already negotiated down. last time he had MRI in California also cost more than$5000, we need pay coinsurance 20%, which is a lot. I wonder anyone live in California know how much your colonoscopy cost?
05-12-2016, 08:10 PM   #2
ronroush7
Forum Monitor
 
ronroush7's Avatar
 
Join Date: Oct 2013
Location: vienna, Virginia

My Support Groups:
I am going to tag Jennifer.
05-12-2016, 10:38 PM   #3
Jennifer
Adminstrator
 
Jennifer's Avatar
I honestly don't know because I have Medicaid which covers 100% of all costs minus $5 for ER trips. If you were told that your insurance would cover the anesthetic prior to the test then I'd try and get the insurance company to cover it especially if it was the insurance company who told you that it would be covered.
__________________
Diagnosis: Crohn's in 1991 at age 9
Surgeries: 1 Small Bowel Resection in 1999; Central IV in 1991-92
Meds for CD: 6MP 50mg
Things I take: Tenormin 25mg (PVCs and Tachycardia), Junel, Tylenol 3, Omeprazole 20mg 2/day, Klonopin 1mg 2/day (anxiety), Restoril 15mg (insomnia), Claritin 20mg
Currently in: REMISSION Thought it was a flare but it's just scar tissue from my resection. Dealing with a stricture. Remission from my resection, 17 years and counting.
05-13-2016, 12:48 PM   #4
Eridon2002
Senior Member
 
Eridon2002's Avatar
 
Join Date: Jul 2014
Location: Saint Louis, Missouri

My Support Groups:
I just looked up the cost of my colonoscopy I had past October(numbers below). I met my out of pocket max that year so I paid $0. Although about 8-9 years ago when I had an 80/20 insurance plan I had to pay $300 of a $3,000 colonoscopy bill. I would say $5,000 is on the high end. See if you can get a negotiated insurance rate for the $1,500 anesthesia bill. That one seems very high-especially for a quick procedure like a colonoscopy where he is not fully out just sedated. I would argue with the insurance that the anesthesia is medically necessary-does he have ulcerations or strictures that would cause pain during the colonoscopy?

Costs:
Anesthesia $480 negotiated rate=$382
Colonsocopy $2785 negotiated rate=$1245
Doc bill $1141 negotiated rate $197
05-14-2016, 04:37 PM   #5
Cross-stitch gal
Moderator
 
Cross-stitch gal's Avatar
 
Join Date: Dec 2011
Location: Vancouver, Washington

My Support Groups:
I'm not sure about your insurance. But, with mine my colonoscopy will mostly be covered for me and I'll only be paying a little (if I'm not in a flare). But, if I'm in a flare I'll be paying the whole thing. The difference is whether if it is preventative or treatment. I'm wondering if they either found something or if he might be in a flare.

This is why I've been waiting to have mine this year because I've been in a flare.
__________________
Diagnosed:
Ulcerative Colitis/IBD 1996, Iritis 2001, Ulcerative Proctitis 2013, Indeterminate Colitis 2016, Remission 2017, Hand Eczema

Current Meds:
Pentasa 1000mg 2xday, Canasa Suppositories (when needed) 1000mg 1xday

Non-Meds:
600+D Calcium 2xday, Multivitamin, 65mg Iron 1xday, Fish Oil 1000mg, Vitamin D3 5,000 I.U., Eye Drops 2xday


UP Support Group http://www.crohnsforum.com/showthread.php?t=68350
05-14-2016, 11:42 PM   #6
FrozenGirl
Senior Member
 
FrozenGirl's Avatar
I'm not sure about your insurance. But, with mine my colonoscopy will mostly be covered for me and I'll only be paying a little (if I'm not in a flare). But, if I'm in a flare I'll be paying the whole thing. The difference is whether if it is preventative or treatment. I'm wondering if they either found something or if he might be in a flare.

This is why I've been waiting to have mine this year because I've been in a flare.
That is so odd to me. Do they not have a "diagnostic" category, just preventative or treatment?

(Then again the whole US healthcare system is a mystery to me, here a colonoscopy without insurance would cost 500-600 dollars total).
__________________
Dx: Ulcerative Colitis, Nov 2013
Currently on:
Mezavant 4.8g
Vitamin D 1000iu
Calcium
Tecta 40mg
Remicade: 600mg, every 4 weeks
Methotrexate: 15 mg (injection)
08-18-2016, 01:21 AM   #7
Cross-stitch gal
Moderator
 
Cross-stitch gal's Avatar
 
Join Date: Dec 2011
Location: Vancouver, Washington

My Support Groups:
As far as I know we only have preventative or treatment in my insurance. I've also found that if I happen to need a colonoscopy it's required to get a referral beforehand as well. I should know soon if I need a colonoscopy by the end of the year though. I'm needing a refill of my medication and they're having to contact my GI for approval...
Reply

Crohn's Disease Forum » Tests for IBD » Cost of colonoscopy
Thread Tools


All times are GMT -5. The time now is 05:42 PM.
Copyright 2006-2017 Crohnsforum.com